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Clinical Practice Goniometry > Upper Extremity Goniometry > Flashcards

Upper Extremity Goniometry Flashcards

1
Q

SHOULDER AND GH FLEXION

A

SHOULDER AND GH FLEXION

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2
Q

What is the testing position for both shoulder and GH flexion?

A
  • Supine, hook lying to flatten lumbar spine
  • Elbow extended
  • Neutral supination/pronation (palm facing body)
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3
Q

What is the mean ROM for shoulder complex flexion?

A

180°

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4
Q

What is the mean ROM for glenohumeral flexion?

A

115°

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5
Q

When testing for flexion of the shoulder complex, what do we stabilize and why?

A

Stabilize the thorax to prevent spinal extension

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6
Q

When testing for flexion of the GH what do we stabilize and why?

A

Stabilize the lateral border scapulae to prevent scapular posterior tilting, upward rotation, and elevation.

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7
Q

What is the end feel for both shoulder and GH flexion?

A

Both have a firm end feel

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8
Q

Alignment (shoulder and GH flexion):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • midaxillary line of thorax
  • humerus lateral epicondyle
  • greater tubercle
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9
Q

SHOULDER AND GH EXTENSION

A

SHOULDER AND GH EXTENSION

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10
Q

What is the testing position for both shoulder and GH extension?

A
  • Prone, face turned away
  • Slight elbow flexion
  • Neutral pronation/supination (palm facing body)
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11
Q

What is the mean ROM for shoulder complex flexion?

A

60°

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12
Q

What is the mean ROM for glenohumeral flexion?

A

20°

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13
Q

When testing for extension of the shoulder complex, what do we stabilize and why?

A

Stabilize the weight of trunk/table.

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14
Q

When testing for extension of the GH, what do we stabilize and why?

A

Stabilize at the inferior angle of the scapula to prevent scapular elevation and anterior tilting.

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15
Q

What is the end feel for both shoulder and GH extension?

A

Both have a firm end feel.

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16
Q

Alignment (shoulder and GH extension):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A

SAME AS FLEXION

  • midaxillary line of thorax
  • humerus lateral epicondyle
  • greater tubercle
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17
Q

SHOULDER AND GH ABDUCTION

A

SHOULDER AND GH ABDUCTION

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18
Q

What is the testing position for both shoulder and GH abduction?

A
  • Supine
  • Arm in supination
  • Elbow extended
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19
Q

What is the mean ROM for shoulder complex abduction?

A

180°

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20
Q

What is the mean ROM for GH abduction?

A

120°-125°

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21
Q

When testing for abduction of the shoulder, what do we stabilize and why?

A

Stabilize the thorax to prevent lateral flexion of the spine.

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22
Q

When testing for abduction of the GH, what do we stabilize and why?

A

Stabilize the scapula to prevent scapular upward rotation and elevation.

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23
Q

What is the end feel for both shoulder and GH abduction?

A

Both have a firm end feel.

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24
Q

Alignment (shoulder and GH abduction):

  • What is the stationary arm?
  • What is the moving arm?
  • What is the fulcrum?
A
  • parallel to midline of sternum
  • medial epicondyle
  • acromial process
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25
SHOULDER AND GH INTERNAL ROTATION
SHOULDER AND GH INTERNAL ROTATION
26
What is the testing position for both shoulder and GH internal rotation?
- Supine - Shoulder in 90° of abduction - Neutral pronation/supination - Humerus supported by towel
27
What is the mean ROM for shoulder complex internal rotation?
70°-90°
28
What is the mean ROM for GH internal rotation?
50°
29
When testing for internal rotation of the shoulder, what do we stabilize and why?
Stabilize at distal end of the humerus to prevent the shoulder from leaving 90° of abduction and flexion of the spine.
30
When testing for internal rotation of the GH, what do we stabilize and why?
Stabilize at the distal humerus to prevent scapular anterior tilting and protraction.
31
What is the end feel for both shoulder and GH internal rotation?
Both have a firm end feel.
32
Alignment (shoulder and GH internal rotation): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- Perpendicular to the floor - Midline of ulna/styloid process - Olecranon
33
SHOULDER AND GH EXTERNAL ROTATION
SHOULDER AND GH ROTATION
34
What is the testing position for both shoulder and GH external rotation?
SAME AS INTERNAL ROTATION - Supine - Shoulder in 90° of abduction - Neutral pronation/supination - Humerus supported by towel
35
What is the mean ROM for shoulder complex external rotation
90°
36
What is the mean ROM for GH external rotation?
94°
37
When testing for external rotation of the shoulder, what do we stabilize and why?
Stabilize distal humerus to prevent shoulder from leaving 90° abduction and extension of the spine.
38
When testing for external rotation of the GH, what do we stabilize and why?
Stabilize at the distal humerus to prevent scapular posterior tilting and retraction.
39
What is the end feel for both shoulder and GH external rotation?
Both have a firm end feel.
40
Alignment (shoulder and GH external rotation): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- SAME AS INTERNAL ROTATION - Perpendicular to the floor - Midline of ulna/styloid process - Olecranon
41
ELBOW FLEXION
ELBOW FLEXION
42
What is the testing position for elbow flexion?
- Supine - Neutral shoulder flexion/extension and ab/adduction - Place pad under distal humerus - Full supination
43
What is the mean ROM for elbow flexion?
150°
44
When testing for elbow flexion what do we stabilize and why?
Stabilize at the humerus to prevent shoulder flexion.
45
What is the end feel for elbow flexion?
Usually soft but can be hard if there is minimal muscle bulk.
46
Alingment (elbow flexion): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- midline of humerus - midline of radius - lateral epicondyle
47
ELBOW EXTENSION
ELBOW EXTENSION
48
What is the testing position for elbow extension?
SAME AS ELBOW FLEXION - Supine - Neutral shoulder flexion/extension and ab/adduction - Place pad under distal humerus - Full supination
49
What is the mean ROM for elbow extension?
0°
50
When testing for elbow extension, what do we stabilize and why?
Stabilize at the humerus to prevent medial rotation and abduction of the humerus.
51
What is the end feel for elbow extension?
Hard
52
Alignment (elbow extension): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
SAME AS ELBOW FLEXION - midline of humerus - midline of radius - lateral epicondyle
53
PRONATION
PRONATION
54
What is the testing position for supination?
- Sitting - Neutral shoulder flexion/extension, ab/adduction, rotation - Elbow flexed 90°, forearm supported - Begin with thumb pointed towards ceiling
55
What is the mean ROM for pronation?
80°
56
When testing for pronation, what do we stabilize and why?
Stabilize at the distal end of the humerus to prevent medial rotation and abduction of shoulder
57
What is the end feel for pronation?
Hard
58
Alignment (pronation): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- Parallel to anterior midline of humerus - Across dorsal aspect of forearm just proximal to stylod processes - Medial to ulnar styloid process
59
SUPINATION
SUPINATION
60
What is the testing position for supination?
SAME AS PRONATION - Neutral shoulder flexion/extension, ab/adduction, rotation - Elbow flexed 90°, forearm supported - Begin with thumb pointed towards ceiling
61
What is the mean ROM for supination?
80°
62
When testing for supination, what do we stabilize and why?
Stabilize at distal end of humerus to prevent lateral rotation and adduction of the shoulder.
63
What is the end feel for supination?
Firm
64
Alignment (supination): - What is the stationary arm? - What is the moving arm? - What is the fulcrum?
- Parallel to the anterior midline of the humerus - Across ventral aspect of forearm just proximal to styloid processes - Medial to ulnar styloid process

Clinical Practice Goniometry (3 decks)

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